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NPI 1760171524

NPI 1760171524 : ABIGAIL LOUISE WITMER OD : COLUMBUS, OH

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General NPI Number Information
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    NPI Number           |    1760171524
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    Entity Type          |    Individual 
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    Provider Name        |    ABIGAIL LOUISE WITMER OD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/05/2023
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    Last Update Date     |    05/27/2025
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Provider Practice Location Address
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    Address Line         |    1664 NEIL AVE 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43201-2333
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    Country              |    US
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    Telephone            |    614-688-0055
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    Fax                  |    614-247-6626
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Provider Business Mailing Address
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    Address Line         |    1664 NEIL AVE 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43201-2333
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    Country              |    US
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    Telephone            |    614-688-0055
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    Fax                  |    614-247-6626
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    T-258-TA-C92
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    License Number State |    AL
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Taxonomy #2
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    Taxonomy Code        |    152WP0200X
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    Taxonomy Name        |    Pediatric Optometrist
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    License Number       |    OPT.007318
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    License Number State |    OH
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Taxonomy #3
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    OPT.007318
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    License Number State |    OH
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